造瘘口扩张护理预防直肠癌根治术后造瘘口并发症的疗效研究

Clinical study on the effect of nursing care for dilation of stoma in prevention the complications of stoma in patients after radical resection of rectal carcinoma

目的:观察造瘘口扩张护理防治直肠癌根治术后造瘘口并发症的疗效,总结其护理方法。方法:收治直肠癌造瘘术后患者120例,随机平分为两组。对照组采用常规护理,观察组在对照组的基础上加用造瘘口扩张护理。观察、比较两组患者造瘘口并发症发生情况。结果:观察组造瘘口周围炎发生率及总体并发症发生率明显低于对照组,差异有统计学意义(P<0.01)。结论:采用造瘘口扩张护理方法可以有效降低直肠癌根治术后造瘘口并发症的发生率。

Objective:To observe the curative effect of nursing care for dilation of stoma in prevention the complications of stoma in patients after radical resection of rectal carcinoma,and to summarize the nursing methods.Methods:120 patients after colorectal cancer ostomy were selected.They were randomly divided into the two groups.Patients in the control group used routine care,while patients in the observation group used nursing care for dilation of stoma based on the control group.The incidence of complications in the two groups of patients were observed and compared.Results:The incidence of inflammation around the stoma and the overall complication rate in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P < 0.01).Conclusion:The use of the nursing care for dilation of stoma method can effectively reduce the incidence of complications of stoma after radical resection of rectal carcinoma.